Individual provider Active NPI

Steven Sunghwan Paik, PA-C

  • Dermatology Physician
  • Bakersfield, CA
National Provider Identifier
1558157990
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
PA66594 Issued in CA
Practice address
300 Old River Rd Ste 120-125
Bakersfield, CA 93311-9503
Phone
(952) 607-6105
NPI assigned
Apr 15, 2025
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X PA66594 CA Primary

Addresses

Primary practice location

300 Old River Rd Ste 120-125
Bakersfield, CA 93311-9503

Mailing address

11325 Park Square Dr Apt F207
Bakersfield, CA 93311-8862
Phone (952) 607-6105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814003208 CA Practitioner - Physician Assistant 7113426404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

5600 California Ave
Bakersfield, CA 93309-1614
Phone (661) 322-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
66594CAMDClinical Social Worker
PA66594CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Laser Center PC, a Professional Medical Corporation PastSince Feb 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: spaik@lalasercenter.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1558157990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 PARK SQUARE DR APT F207",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118862",
            "telephone_number": "952-607-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD RIVER RD STE 120-125",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119503",
            "telephone_number": "952-607-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIK",
        "first_name": "STEVEN",
        "middle_name": "SUNGHWAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-15",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "PA66594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.